| Restorative Counseling And Wellness Center Llc | |
|
5058 Dorsey Hall Dr Suite 103 Ellicott City MD 21042-7849 | |
| (443) 300-6555 | |
| (443) 288-4582 |
| Full Name | Restorative Counseling And Wellness Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5058 Dorsey Hall Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Nicole Dechirico (SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 4433006555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Counseling And Wellness Center Llc 5058 Dorsey Hall Dr Suite 103 Ellicott City MD 21042-7849 Ph: (443) 300-6555 | Restorative Counseling And Wellness Center Llc 5058 Dorsey Hall Dr Suite 103 Ellicott City MD 21042-7849 Ph: (443) 300-6555 |
| NPI Number | 1730637984 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730637984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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